Active NPI
Michael J Egitto, DDS
- General Practice Dentistry
- North Palm Beach, FL
National Provider Identifier
1922235191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14985
- Practice address
- 860 US Highway 1
Suite 105
North Palm Beach, FL 33408-3879 - Phone
- (561) 622-3122
- Fax
- (561) 622-5743
- NPI assigned
- Jun 16, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14985 | FL | Primary |
Addresses
Primary practice location
860 US Highway 1
Suite 105
North Palm Beach, FL 33408-3879
Mailing address
860 US Hwy One
Suite 105
North Palm Beach, FL 33408
Phone (561) 622-3122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14985 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr John P Egitto DMD, PA & Dr Michael J Egitto DDS, PA | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- North Palm Beach, FL
- NPI 1639430085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245110400000",
"number": "1922235191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 US HWY ONE",
"address_2": "SUITE 105",
"city": "NORTH PALM BEACH",
"state": "FL",
"postal_code": "33408",
"telephone_number": "561-622-3122",
"fax_number": "561-622-5743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 US HIGHWAY 1",
"address_2": "SUITE 105",
"city": "NORTH PALM BEACH",
"state": "FL",
"postal_code": "334083879",
"telephone_number": "561-622-3122",
"fax_number": "561-622-5743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGITTO",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-16",
"last_updated": "2009-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "14985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.